Moscato M, Sabetta E, Tigani D, Mignani G, Specchia L, Boriani S
I Clinica Ortopedica dell'Università, Istituto Ortopedico Rizzoli, Bologna.
Ital J Orthop Traumatol. 1991 Sep;17(3):313-20.
A series of 136 tibial fractures treated with locked Grosse-Kempf nailing is reviewed, evaluating the results according to rapidity of healing, functional recovery, and complications. Locked nailing proved so reliable that immediate mobilization was possible. There was only a 6% incidence of delayed union, including infections (3 cases, 2%) and nail breakage (2 cases, 1.5%). Several details of the operative technique that were decisive in the final result are discussed.
回顾了采用锁定式Grosse-Kempf髓内钉治疗的136例胫骨骨折，根据愈合速度、功能恢复情况及并发症对结果进行评估。锁定髓内钉被证明非常可靠，患者可立即活动。延迟愈合的发生率仅为6%，包括感染（3例，2%）和髓内钉断裂（2例，1.5%）。文中还讨论了对最终结果起决定性作用的手术技术的几个细节。
